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KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Hypoperfusion complex (HC)
Synonyms
Shock bowel
Shock abdomen
Hypovolemic shock complex
Hypotension complex
Definitions
Constellation of CT findings indicative of compensated shock
IMAGING
CT Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Higashi H et al: Traumatic hypovolemic shock revisited: the spectrum of contrast-enhanced abdominal computed tomography findings and clinical implications for its management. Jpn J Radiol. 32(10):579-84, 2014
Higashi H et al: Hypovolemic shock complex: does the pancreatic perfusion increase or decrease at contrast-enhanced dynamic CT? Clin Imaging. 38(1):31-4, 2014
Sheybani EF et al: Pediatric nonaccidental abdominal trauma: what the radiologist should know. Radiographics. 34(1):139-53, 2014
Wang J et al: Hypovolemic shock complex in the trauma setting: a pictorial review. Can Assoc Radiol J. 64(2):156-63, 2013
Prasad KR et al: CT in post-traumatic hypoperfusion complex--a pictorial review. Emerg Radiol. 18(2):139-43, 2011
Ito K et al: Adrenal glands in hypovolemic shock: preservation of contrast enhancement at dynamic computed tomography. J Comput Assist Tomogr. 34(4):513-6, 2010
Ames JT et al: CT hypotension complex (shock bowel) is not always due to traumatic hypovolemic shock. AJR Am J Roentgenol. 192(5):W230-5, 2009
Ryan MF et al: The halo sign and peripancreatic fluid: useful CT signs of hypovolaemic shock complex in adults. Clin Radiol. 60(5):599-607, 2005
O'Hara SM et al: Intense contrast enhancement of the adrenal glands: another abdominal CT finding associated with hypoperfusion complex in children. AJR Am J Roentgenol. 173(4):995-7, 1999
Strouse PJ et al: CT of bowel and mesenteric trauma in children. Radiographics. 19(5):1237-50, 1999
Levine CD et al: CT in patients with blunt abdominal trauma: clinical significance of intraperitoneal fluid detected on a scan with otherwise normal findings. AJR Am J Roentgenol. 164(6):1381-5, 1995
Mirvis SE et al: Diffuse small-bowel ischemia in hypotensive adults after blunt trauma (shock bowel): CT findings and clinical significance. AJR Am J Roentgenol. 163(6):1375-9, 1994
Sivit CJ et al: CT in children with rupture of the bowel caused by blunt trauma: diagnostic efficacy and comparison with hypoperfusion complex. AJR Am J Roentgenol. 163(5):1195-8, 1994
Sivit CJ et al: Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology. 182(3):723-6, 1992
Jeffrey RB Jr et al: The collapsed inferior vena cava: CT evidence of hypovolemia. AJR Am J Roentgenol. 150(2):431-2, 1988
Taylor GA et al: Hypovolemic shock in children: abdominal CT manifestations. Radiology. 164(2):479-81, 1987
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Hypoperfusion complex (HC)
Synonyms
Shock bowel
Shock abdomen
Hypovolemic shock complex
Hypotension complex
Definitions
Constellation of CT findings indicative of compensated shock
IMAGING
CT Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Higashi H et al: Traumatic hypovolemic shock revisited: the spectrum of contrast-enhanced abdominal computed tomography findings and clinical implications for its management. Jpn J Radiol. 32(10):579-84, 2014
Higashi H et al: Hypovolemic shock complex: does the pancreatic perfusion increase or decrease at contrast-enhanced dynamic CT? Clin Imaging. 38(1):31-4, 2014
Sheybani EF et al: Pediatric nonaccidental abdominal trauma: what the radiologist should know. Radiographics. 34(1):139-53, 2014
Wang J et al: Hypovolemic shock complex in the trauma setting: a pictorial review. Can Assoc Radiol J. 64(2):156-63, 2013
Prasad KR et al: CT in post-traumatic hypoperfusion complex--a pictorial review. Emerg Radiol. 18(2):139-43, 2011
Ito K et al: Adrenal glands in hypovolemic shock: preservation of contrast enhancement at dynamic computed tomography. J Comput Assist Tomogr. 34(4):513-6, 2010
Ames JT et al: CT hypotension complex (shock bowel) is not always due to traumatic hypovolemic shock. AJR Am J Roentgenol. 192(5):W230-5, 2009
Ryan MF et al: The halo sign and peripancreatic fluid: useful CT signs of hypovolaemic shock complex in adults. Clin Radiol. 60(5):599-607, 2005
O'Hara SM et al: Intense contrast enhancement of the adrenal glands: another abdominal CT finding associated with hypoperfusion complex in children. AJR Am J Roentgenol. 173(4):995-7, 1999
Strouse PJ et al: CT of bowel and mesenteric trauma in children. Radiographics. 19(5):1237-50, 1999
Levine CD et al: CT in patients with blunt abdominal trauma: clinical significance of intraperitoneal fluid detected on a scan with otherwise normal findings. AJR Am J Roentgenol. 164(6):1381-5, 1995
Mirvis SE et al: Diffuse small-bowel ischemia in hypotensive adults after blunt trauma (shock bowel): CT findings and clinical significance. AJR Am J Roentgenol. 163(6):1375-9, 1994
Sivit CJ et al: CT in children with rupture of the bowel caused by blunt trauma: diagnostic efficacy and comparison with hypoperfusion complex. AJR Am J Roentgenol. 163(5):1195-8, 1994
Sivit CJ et al: Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology. 182(3):723-6, 1992
Jeffrey RB Jr et al: The collapsed inferior vena cava: CT evidence of hypovolemia. AJR Am J Roentgenol. 150(2):431-2, 1988
Taylor GA et al: Hypovolemic shock in children: abdominal CT manifestations. Radiology. 164(2):479-81, 1987
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